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Instructions For AD-1155A (Former NRCS-LTP-11B, CCC-1252B)

CONSERVATION PLAN SCHEDULE OF OPERATIONS

This form is provided on the eForms Web site for information only. NRCS provides a summary of the conservation plan schedule and cost outlays for practices installed using NRCS or CCC funds. Program participant reviews the summary information and signs the form. NRCS and a conservation district official must also sign the form. This form is applicable to the following programs: Agricultural Conservation Program (ACP), Agricultural Management Assistance (AMA), Conservation Reserve Program (CRP), Colorado Salinity Control Program (CRSCP), Emergency Watershed Program (EWP), Environmental Quality Incentives Program (EQIP), Forestry Incentives Program (FIP), Great Plains Conservation Program (GPCP), Interim Environmental Quality Incentives Program(IEQIP), Rural Abandoned Mine Program (RAMP), Soil and Water Conservation Assistance (SWCA),Watershed Protection and Flood Prevention Program (WPFPP), Water Bank Program (WBP), Wildlife Habitat Incentives Program (WHIP), and Wetlands Reserve Program (WRP).

NRCS completes Items 1-24 and items 26A and 26B; participant reviews items included in those items and completes item 35. This form must be accompanied by form AD-1155.

Items 1- 33 are for NRCS use only.

Item 35

Fld Name / Item No. Instruction
35A

Name

35C and 35E if applicable 		This item is completed by the program participant. All program participants must sign the form. This is a signature field for the program participant. By signing, the participant acknowledges receipt of this conservation plan including form AD-1155 and agrees to comply with the terms and conditions hereof. Manually enter your signature. If there is more than one program participant, complete items 35C and 35E if applicable.
35B

Date

32D and 32F if applicable 		Enter the date you sign the agreement. Enter the date using the format of two digits for the month and day, and four digits for the year, separated by dashes. Example: mm-dd-yyyy. If there is more than one program participant, complete items 32D and 32F if applicable.

Item 36 is for NRCS and Conservation District use only. The NRCS signature constitutes certification that the scheduled contract items meet plan objectives.